Laserfiche WebLink
MONITORING WELL INSTALLATION REPORT <br /> Date: I/'?I I2 CONSTRUCTION <br /> Premise Address: -342- Q0l• Fiz� ,U**Vt1P mi- b�r� Total Depth I Z� } ��S <br /> �Y��Ur I� Screen Length (from) d S (to) 153 F} S <br /> Well No.: INW 53�I ltl fii�SFilter Pack (from)af4 (to) V F}Tohnn� oa4�4 n Bentonite (fro) (Coo)Inspector: 4 Grout (from <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> � <br /> ^� Completion - Stove pipe Christie box (c rcle one) <br /> Drilling Company: G' —i <br /> Driller:_ AY'G_Asa�! ---iii--- casing <br /> height <br /> Consultant M/ tA.fZS <br /> Geologist IVle,"nlS <br /> ABOVE-GROUND <br /> COMPLETION C-SISTY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Burf� <br /> Distance to sewer line Grp <br /> Domestic well on site - (y/n ) )O� <br /> If yes, location and distance - ft. <br /> 1t� It43 h. <br /> m . <br /> = d <br /> = m <br /> C <br /> SAMPLING = <br /> slotted <br /> ax5an <br /> Holding Temperature _ ��P <br /> Methodack <br /> _ <br /> Screening Method e — <br /> Tracking Sheet - (y/ n ) <br /> t25 ''` <br /> g, — <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type S61 h 90 PY(� L{-IVI <br /> Blank 5 ft. Screen ft. <br /> Slot size ,010 -I <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water 2� Bags sand/gravel_ 14 <br /> Mix Ratios Ram /30 l.A4-4-6 Filter Pack type/size MD` \iOl`4 2-112- <br /> Installation Method m TQNL rd Surge Block: - ((y,'n ) <br /> Quantity Installed 7 $Rs, Discussed with geologist: - �`/�'y'�')( n ) <br /> Type of method pUMPFrJQfuWnAr, <br /> EH 29 29 <br /> _ <br />